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https://www.readbyqxmd.com/read/28230312/five-year-cost-effectiveness-of-patient-empowerment-programme-pep-for-type-2-diabetes-mellitus-in-primary-care
#1
J X Lian, Sarah M McGhee, C So, J Chau, Carlos Kh Wong, William Cw Wong, Cindy Lk Lam
This study evaluated the short-term cost-effectiveness of the Patient Empowerment Programme (PEP) for diabetes mellitus in Hong Kong. Propensity score matching was used to select a matched group of PEP and non-PEP subjects. A societal perspective was adopted to estimate the cost of PEP. The outcome measures were the cumulative incidence of all-cause mortality and diabetic complication over a five-year follow-up and the number needed to treat (NNT) to avoid one event. The incremental cost-effectiveness ratio (ICER) of cost per event avoided was calculated using the PEP cost per subject multiplied by the NNT...
February 23, 2017: Diabetes, Obesity & Metabolism
https://www.readbyqxmd.com/read/28227976/user-intent-prediction-with-a-scaled-conjugate-gradient-trained-artificial-neural-network-for-lower-limb-amputees-using-a-powered-prosthesis
#2
Richard B Woodward, John A Spanias, Levi J Hargrove, Richard B Woodward, John A Spanias, Levi J Hargrove, John A Spanias, Richard B Woodward, Levi J Hargrove
Powered lower limb prostheses have the ability to provide greater mobility for amputee patients. Such prostheses often have pre-programmed modes which can allow activities such as climbing stairs and descending ramps, something which many amputees struggle with when using non-powered limbs. Previous literature has shown how pattern classification can allow seamless transitions between modes with a high accuracy and without any user interaction. Although accurate, training and testing each subject with their own dependent data is time consuming...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227917/evaluation-of-shoulder-joint-kinematics-and-muscle-activity-during-geared-and-standard-manual-wheelchair-mobility
#3
Omid Jahanian, Alyssa J Schnorenberg, Brooke A Slavens, Omid Jahanian, Alyssa J Schnorenberg, Brooke A Slavens, Brooke A Slavens, Alyssa J Schnorenberg, Omid Jahanian
Manual wheelchairs often lead to reduced independent function and an increase in shoulder pain and injuries. Geared manual wheelchairs may be a promising alternative that reduces the biomechanical demands of the shoulder needed for tasks such as propulsion on ramps and carpeted floors, while maximizing function and participation. To investigate the effects of geared manual wheelchair mobility during demanding tasks such as ramp ascent, six able-bodied subjects were evaluated in this study. Subjects were asked to propel both standard and geared manual wheelchairs on a tiled level floor and on a wheelchair ADA ramp...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227653/delaying-ambulation-mode-transitions-in-a-powered-knee-ankle-prosthesis
#4
Ann M Simon, John A Spanias, Kimberly A Ingraham, Levi J Hargrove, Ann M Simon, John A Spanias, Kimberly A Ingraham, Levi J Hargrove, John A Spanias, Ann M Simon, Kimberly A Ingraham, Levi J Hargrove
Powered knee and ankle prostheses have the potential to improve the mobility of individuals with a lower limb amputation. As the number of different ambulation modes the prosthesis can be configured for increases, so too does the challenge of how to best transition the prosthesis between these modes. Pattern recognition systems have been suggested as a means to provide seamless and natural transitions, although error rates need to be reduced for these systems to be clinical viable. Delaying mode transitions by a small window may be one way to reduce error rates and improve reliability...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227652/does-the-impedance-of-above-knee-powered-prostheses-need-to-be-adjusted-for-load-carrying-conditions
#5
Andrea Brandt, Ming Liu, He Helen Huang, Andrea Brandt, Ming Liu, He Helen Huang, He Helen Huang, Ming Liu, Andrea Brandt
Powered knee prostheses provide substantial advantages for amputees compared to traditional passive devices during basic walking tasks (i.e. level-ground, stairs, ramps), but the impedance control parameters are fixed. For environments that differ from the well-controlled setting of the clinic, amputees must compensate their gait patterns because fixed control parameters ideal for walking on level ground in the clinic do not meet real-life task demands. Load carriage is one instance where fixed control parameters may lead to undesired gait patterns and potentially result in injury...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227545/corticomuscular-coherence-variation-throughout-the-gait-cycle-during-overground-walking-and-ramp-ascent-a-preliminary-investigation
#6
Anna T Winslow, Justin Brantley, Fangshi Zhu, Jose L Contreras Vidal, He Huang, Anna T Winslow, Justin Brantley, Fangshi Zhu, Jose L Contreras Vidal, He Huang, Fangshi Zhu, Justin Brantley, Jose L Contreras Vidal, He Huang, Anna T Winslow
Recent designs of neural-machine interfaces (NMIs) incorporating electroencephalography (EEG) or electromyography (EMG) have been used in lower limb assistive devices. While the results of previous studies have shown promise, a NMI which takes advantage of early movement-related EEG activity preceding movement onset, as well as the improved signal-to-noise ratio of EMG, could prove to be more accurate and responsive than current NMI designs based solely on EEG or EMG. Previous studies have demonstrated that the activity of the sensorimotor cortex is coupled to the firing rate of motor units in lower limb muscles during voluntary contraction...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226831/muscle-synergy-analysis-in-transtibial-amputee-during-ramp-ascending-activity
#7
P Mehryar, M S Shourijeh, H F Maqbool, M Torabi, A A Dehghani-Sanij, P Mehryar, M S Shourijeh, H F Maqbool, M Torabi, A A Dehghani-Sanij, A A Dehghani-Sanij, M S Shourijeh, P Mehryar, M Torabi, H F Maqbool
In developed countries, the highest number of amputees are elderly with transtibial amputation. Walking on inclined surfaces is difficult for amputees due to loss of muscle volume and strength thereby transtibial amputees (TA) rely on the intact limb to maintain stability. The aim of this study was to use the concatenated non-negative matrix factorization (CNMF) technique to calculate muscle synergy components and compare the difference in muscle synergies and their associated activation profiles in the healthy and amputee groups during ramp ascending (RA) activity...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28225796/what-can-we-learn-about-beat-perception-by-comparing-brain-signals-and-stimulus-envelopes
#8
Molly J Henry, Björn Herrmann, Jessica A Grahn
Entrainment of neural oscillations on multiple time scales is important for the perception of speech. Musical rhythms, and in particular the perception of a regular beat in musical rhythms, is also likely to rely on entrainment of neural oscillations. One recently proposed approach to studying beat perception in the context of neural entrainment and resonance (the "frequency-tagging" approach) has received an enthusiastic response from the scientific community. A specific version of the approach involves comparing frequency-domain representations of acoustic rhythm stimuli to the frequency-domain representations of neural responses to those rhythms (measured by electroencephalography, EEG)...
2017: PloS One
https://www.readbyqxmd.com/read/28223913/neuromorphic-implementation-of-attractor-dynamics-in-a-two-variable-winner-take-all-circuit-with-nmdars-a-simulation-study
#9
Hongzhi You, Da-Hui Wang
Neural networks configured with winner-take-all (WTA) competition and N-methyl-D-aspartate receptor (NMDAR)-mediated synaptic dynamics are endowed with various dynamic characteristics of attractors underlying many cognitive functions. This paper presents a novel method for neuromorphic implementation of a two-variable WTA circuit with NMDARs aimed at implementing decision-making, working memory and hysteresis in visual perceptions. The method proposed is a dynamical system approach of circuit synthesis based on a biophysically plausible WTA model...
2017: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/28221146/-new-strategies-and-protocols-in-swl
#10
Alberto Budía Alba, Pilar Bahilo Mateu, Guzmán Ordaz Jurado, José Daniel López-Acón, Marta Trassierra Villa, Francisco Boronat Tormo
OBJECTIVE: An update of the new treatment strategies in extracorporeal lithotripsy as a valid therapeutic alternative in the management of urinary calculi. METHODS: We performed a search and review of the most recent literature which responded to the terms "best practices", "update", "optimization", "practice pattern" in lithotripsy. Only articles written in English or Spanish were selected. RESULTS: The use of a stepwise voltage ramping during extracorporeal lithotripsy with or without pause before the first rise of energy, a decreased delivery rates and the use of a higher number of shock waves per session are shown as alternatives to improve the effectiveness with optimum safety profile...
January 2017: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/28220861/electrically-tunable-metasurface-based-on-mie-type-dielectric-resonators
#11
Zhaoxian Su, Qian Zhao, Kun Song, Xiaopeng Zhao, Jianbo Yin
In this paper, we have designed a metasurface based on electrically tunable Mie-type resonators and theoretically demonstrated its tunable response to electromagnetic waves with varying frequency. The metasurface consists of disk-like ferroelectric resonators arrayed on a metal film and the upper surface of resonators is covered by ion gel film which is transparent for incident electromagnetic wave. Using the metal film and ion gel film as electrodes, the permittivity of the resonators can be adjusted by an external electric field and, as a result, the reflection phase of the resonators can be dynamically adjusted in a relatively wide range...
February 21, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28219106/reliability-and-validity-of-a-self-paced-cardiopulmonary-exercise-test-in-post-mi-patients
#12
Lauren Ann Jenkins, Alexis Mauger, Jane Fisher, James Hopker
A self-paced peak oxygen uptake (V̇O2peak) test (SPV) has been shown to produce higher V̇O2peak values compared to standard cardiopulmonary exercise tests (sCPET), but has not been tested on any clinical population. This study aimed to assess the reliability of the SPV in a healthy population (study 1), and the validity and reliability of the SPV in post-myocardial infarction (post-MI) patients (study 2). For study 1, 25 healthy participants completed 3 SPV's. For study 2, 28 post-MI patients completed one sCPET and 2 SPV's...
February 20, 2017: International Journal of Sports Medicine
https://www.readbyqxmd.com/read/28218833/atomic-force-microscopy-thermally-assisted-microsampling-with-atmospheric-pressure-temperature-ramped-thermal-desorption-ionization-mass-spectrometry-analysis
#13
William D Hoffmann, Vilmos Kertesz, Bernadeta R Srijanto, Gary J Van Berkel
The use of atomic force microscopy controlled nanothermal analysis probes for reproducible spatially resolved thermally assisted sampling of micrometer-sized areas (ca. 11 × 17 μm wide × 2.4 μm deep) from relatively low number-average molecular weight (Mn < 3000) polydisperse thin films of poly(2-vinylpyridine) (P2VP) is presented. Following sampling, the nanothermal analysis probes were moved up from the surface and the probe temperature ramped to liberate the sampled materials into the gas phase for atmospheric pressure chemical ionization and mass spectrometric analysis...
February 20, 2017: Analytical Chemistry
https://www.readbyqxmd.com/read/28218696/driver-s-cognitive-workload-and-driving-performance-under-traffic-sign-information-exposure-in-complex-environments-a-case-study-of-the-highways-in-china
#14
Nengchao Lyu, Lian Xie, Chaozhong Wu, Qiang Fu, Chao Deng
Complex traffic situations and high driving workload are the leading contributing factors to traffic crashes. There is a strong correlation between driving performance and driving workload, such as visual workload from traffic signs on highway off-ramps. This study aimed to evaluate traffic safety by analyzing drivers' behavior and performance under the cognitive workload in complex environment areas. First, the driving workload of drivers was tested based on traffic signs with different quantities of information...
February 17, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28217104/priming-neural-circuits-to-modulate-spinal-reflex-excitability
#15
Stephen P Estes, Jennifer A Iddings, Edelle C Field-Fote
While priming is most often thought of as a strategy for modulating neural excitability to facilitate voluntary motor control, priming stimulation can also be utilized to target spinal reflex excitability. In this application, priming can be used to modulate the involuntary motor output that often follows central nervous system injury. Individuals with spinal cord injury (SCI) often experience spasticity, for which antispasmodic medications are the most common treatment. Physical therapeutic/electroceutic interventions offer an alternative treatment for spasticity, without the deleterious side effects that can accompany pharmacological interventions...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/28215815/influence-of-tramadol-on-acute-thermal-and-mechanical-cutaneous-nociception-in-dogs
#16
Alexandra F Schütter, Julia Tünsmeyer, Sabine B R Kästner
OBJECTIVE: The aim of the study was to evaluate the influence of tramadol on acute nociception in dogs. STUDY DESIGN: Experimental, blinded, randomized, crossover study. ANIMALS: Six healthy laboratory Beagle dogs. METHODS: Dogs received three treatments intravenously (IV): isotonic saline placebo (P), tramadol 1 mg kg(-1) (T1) and tramadol 4 mg kg(-1) (T4). Thermal thresholds were determined by ramped contact heat stimulation (0...
January 7, 2017: Veterinary Anaesthesia and Analgesia
https://www.readbyqxmd.com/read/28213793/automation-of-peak-tracking-analysis-of-stepwise-perturbed-nmr-spectra
#17
Tommaso Banelli, Marco Vuano, Federico Fogolari, Andrea Fusiello, Gennaro Esposito, Alessandra Corazza
We describe a new algorithmic approach able to automatically pick and track the NMR resonances of a large number of 2D NMR spectra acquired during a stepwise variation of a physical parameter. The method has been named Trace in Track (TINT), referring to the idea that a gaussian decomposition traces peaks within the tracks recognised through 3D mathematical morphology. It is capable of determining the evolution of the chemical shifts, intensity and linewidths of each tracked peak.The performances obtained in term of track reconstruction and correct assignment on realistic synthetic spectra were high above 90% when a noise level similar to that of experimental data were considered...
February 17, 2017: Journal of Biomolecular NMR
https://www.readbyqxmd.com/read/28211795/a-murine-model-of-a-novel-surgical-architecture-for-proprioceptive-muscle-feedback-and-its-potential-application-to-control-of-advanced-limb-prostheses
#18
Tyler R Clites, Matthew Carty, Shriya Srinivasan, Anthony Zorzos, Hugh Herr
<i>Objective:</i> Proprioceptive mechanisms play a critical role in both reflexive and volitional lower extremity control. Significant strides have been made in the development of bionic limbs that are capable of bi-directional communication with the peripheral nervous system, but none of these systems have been capable of providing physiologically-relevant muscle-based proprioceptive feedback through natural neural pathways. In this study, we present the Agonist-antagonist Myoplastic Interface (AMI), a surgical approach with the capacity to provide graded kinesthetic feedback from a prosthesis through mechanical activation of native mechanoreceptors within residual agonist-antagonist muscle pairs...
February 17, 2017: Journal of Neural Engineering
https://www.readbyqxmd.com/read/28211719/generation-of-ramped-current-profiles-in-relativistic-electron-beams-using-wakefields-in-dielectric-structures
#19
G Andonian, S Barber, F H O'Shea, M Fedurin, K Kusche, C Swinson, J B Rosenzweig
Temporal pulse tailoring of charged-particle beams is essential to optimize efficiency in collinear wakefield acceleration schemes. In this Letter, we demonstrate a novel phase space manipulation method that employs a beam wakefield interaction in a dielectric structure, followed by bunch compression in a permanent magnet chicane, to longitudinally tailor the pulse shape of an electron beam. This compact, passive, approach was used to generate a nearly linearly ramped current profile in a relativistic electron beam experiment carried out at the Brookhaven National Laboratory Accelerator Test Facility...
February 3, 2017: Physical Review Letters
https://www.readbyqxmd.com/read/28208448/conducting-insulating-transition-in-adiabatic-memristive-networks
#20
Forrest C Sheldon, Massimiliano Di Ventra
The development of neuromorphic systems based on memristive elements-resistors with memory-requires a fundamental understanding of their collective dynamics when organized in networks. Here, we study an experimentally inspired model of two-dimensional disordered memristive networks subject to a slowly ramped voltage and show that they undergo a discontinuous transition in the conductivity for sufficiently high values of memory, as quantified by the memristive ON-OFF ratio. We investigate the consequences of this transition for the memristive current-voltage characteristics both through simulation and theory, and demonstrate the role of current-voltage duality in relating forward and reverse switching processes...
January 2017: Physical Review. E
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